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PUBLIC WORKS <br />PE�iMIT <br />PUDLIC WORKS DEPARTMENT <br />3200 Cetlar Slreet <br />Evcrctt, WA98201 <br />"25,25'.Y� POSTING ��AR 1 s <br />OWNERNAML �l�11T�}'t]:� Y�'.�ii.I'�I'Il� l.'11 i'� <br />ANDAD�RBSS: . _ <br />171f1 1�)-i2E-'. PL S'.4'i :>i 1���; <br />EVERE7'1 I9A .;�:_���� <br />PHONG: 4.'.?iJF.:-.<,., <br />TAY.PARGELI.D.M Q �'I�i�I; LVO�I�!�)tlq <br />oescairrioHOF !�:F:47 F'OUi�-I'Lfin <br />PROPOSED WORK'. <br />PERMIT CONDITIONS <br />PHONE: <br />PROJECT <br />Date <br />Public Works Pcrmil tt <br />Building Permit a <br />Planning Relerence a <br />Public Works Fec S <br />� M. <br />/�. <br />_,�'L_�j :"��1,.; <br />Pwo2o2-0!: <br />r.�::,�.:-u: u <br />,.�-1,,� ;��,. <br />�2� oo' <br />-.Uu�f �9 MAGIFE VIEW DF: <br />i.�, _.. •� ,. �. , . .. . ... <br />tJT� F.Vi�.I:I'.1T IliVl: _ .. I <br />1. All calls for inspe�tion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance wi�h this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER t•800-424-5555 <br />4. n�.�-�p �_�i'iy �,trr�ts �_�lc.an at :�11 ,...�._ ,::�:iin_, .��_�t;:�ti�,��ti,��i�. <br />.�i�i��::ea�-: ;aii.zll be in:�talLe�:l ;�s pr�: ; ity .�,._�n�i.�rd plar:� q� , <br />�; <br />'��_ , . �. _ ..,�'_ 'A;.;��-�v., A�; N�,��.,. ��I.ii� �l:�t_od _ �L,�� . <br />l l� I % <br />FINAL INSPEC ION <br />AppmveA as Constmcted <br />Dale <br />r� <br />-%��- C�� <br />i, , <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />= <br />VI <br />W <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />The underslgned ownedapplicant hereby agrees lo hold and <br />savc hamdess Ihc Ciry o� Everett Irom any and all claims for <br />damages, costs, erpenses. or causes ol action that may arise <br />because af installation and maintenance ol Ihe improvemen� or <br />other righl�obway use hereto applied br and �uriher agrees to <br />remo sai upon notice rom the City and to replace public <br />pro e �qd ere . <br />-� `� ��l <br />Si�n. rc I Apphca Date <br />WORK AUTHORIZ[D 6V iHIS PERMIT MUST BE STARTED WITtiIN Ie� DAYS OF DATE PERMIT IS ISSUED AND THLR[AFfER IS 70 DE DILIGENTLY PURSUEO <br />TO COMPlET10N. THIS PERMIT MAY DE CANCELLED BY THE CITV U. ON ANV STOPPAGG OF WORK ON THIS PROJECT OVER 90 �AYS DUFATION. <br />